Experienced Remote Intake Representative - Cigna Careers: Delivering Exceptional Patient Experiences in Healthcare Benefits Management

Join the eviCore Healthcare Team: Where Flexibility Meets Opportunity

At eviCore healthcare, we believe in empowering our team members to achieve their best while fostering a culture of flexibility and growth. As a leader in healthcare benefits management, we're committed to delivering exceptional patient experiences and driving success through our people. We're now seeking an experienced and compassionate Intake Representative to join our Non-Clinical Call Center team remotely. If you're passionate about making a difference in healthcare and possess a diverse skillset, we want to hear from you!

About eviCore Healthcare

eviCore healthcare is a pioneering healthcare benefits management company dedicated to providing innovative solutions that improve patient outcomes and streamline healthcare processes. Our team of experts works tirelessly to ensure that patients receive the right care at the right time, while also reducing healthcare costs. By joining our team, you'll be part of a dynamic organization that's shaping the future of healthcare.

Job Summary

As an Intake Representative in our Non-Clinical Call Center, you'll serve as the main point of contact for inbound callers, managing their benefits needs from start to finish. You'll work closely with physicians' offices, diagnostic centers, and our clinical staff to ensure seamless communication and resolution of pre-certification questions or concerns. This is a unique opportunity to make a positive impact on patients' lives while developing your skills and expertise in healthcare benefits management.

Key Responsibilities

• Serve as the primary point of contact for inbound callers, processing requests for service, and capturing demographic and medical information to build case files.
• Provide status updates and liaise with clinical staff when needed, ensuring timely resolution of benefits-related inquiries.
• Investigate and resolve pre-certification questions or concerns, working collaboratively with sites, patients, and physician's offices.
• Process Review of Service Request notifications that do not require certification of medical necessity.
• Promptly transfer Review of Services calls that cannot be completed via the formal script to a Clinical First Level Reviewer or Medical Reviewer for completion.
• Deliver professional, courteous, and accurate information to all callers, upholding the highest standards of customer service.

Training and Support

We believe in setting our team members up for success. Upon joining us, you'll attend 6 weeks of in-depth training, designed to equip you with the knowledge and skills necessary to excel in your role. After training, you'll be guided by a mentor and supervisor who will support your performance as you take inbound calls from doctor's offices and diagnostic centers.

Requirements and Qualifications

Essential Qualifications:

• High school diploma or equivalent required; associate's or bachelor's degree in a related field preferred.
• 1-2 years of experience in customer service, healthcare, or a related field; experience with benefits management or medical terminology an asset.
• Excellent communication and interpersonal skills, with the ability to empathize with callers and provide clear, concise information.
• Strong organizational and time management skills, with the ability to multitask and prioritize tasks effectively.
• Proficiency in computer applications, including data entry and customer relationship management (CRM) software.

Preferred Qualifications:

• Previous experience in a call center or customer service environment.
• Familiarity with healthcare benefits management, medical terminology, and insurance industry regulations.
• Certification in medical terminology, benefits management, or a related field.

Skills and Competencies

To succeed in this role, you'll need to possess:

• Exceptional communication and interpersonal skills.
• Strong problem-solving and analytical skills.
• The ability to work in a fast-paced, dynamic environment.
• Emotional intelligence and empathy, with the ability to manage stress and prioritize tasks effectively.
• A passion for delivering exceptional customer service and making a positive impact on patients' lives.

Career Growth Opportunities and Learning Benefits

At eviCore healthcare, we're committed to helping our team members grow and develop their skills. You'll have access to:

• Ongoing training and development opportunities.
• Career advancement opportunities within the organization.
• A collaborative and supportive work environment that encourages feedback and innovation.

Work Environment and Company Culture

We believe in fostering a culture of flexibility, inclusivity, and respect. As a remote team member, you'll enjoy:

• The flexibility to work from home or our remote office.
• A dynamic and supportive work environment that values diversity and inclusion.
• Opportunities to connect with colleagues and leaders through virtual town halls and team-building activities.

Compensation, Perks, and Benefits

We offer a competitive salary and benefits package, including:

• A competitive salary reflecting your skills and experience.
• Comprehensive benefits, including medical, dental, and vision coverage.
• Opportunities for bonuses and professional development.

Conclusion

If you're passionate about delivering exceptional patient experiences and making a positive impact in healthcare, we encourage you to apply for this exciting opportunity. As an Intake Representative with eviCore healthcare, you'll have the chance to develop your skills, grow your career, and make a difference in the lives of patients and families. Don't miss this chance to join our team and take the first step towards a rewarding new role. Apply now!